System Survey Preparation Package

Tracer methodology is a process that allows surveyors to access a specific patient and the services provided to that patient related to organizational processes and systems during the delivery of patient care.

Due to the collaborative nature of the provision of care, all activities performed must be coordinated and integrated throughout all departments and services. It is because of this dependent relationship that information is an important resource to be used effectively and efficiently managed.

A CMS (Centers for Medicare and Medicaid Services) Validation Survey can occur at anytime. Your organization is expected to be in compliance with all of the CMS Conditions of Participations (COPs) to receive Medicare and Medicaid funding.
This educational module is designed to assist you and your staff prepare for the CMS Validation Survey Process.

This educational module is meant to give you an understanding of the TCJ's Competency Assessment Session as part of the new accreditation survey process. A brief review of the accreditation survey components which may be discussed during this session are also included in this educational presentation. By reviewing the information contained in this program, you will understand the purpose of the TCJ's Competency Assessment Session and what to expect during this conference.

The Data Use System Tracer focuses on how data is used in the organization to improve patient care and safety. This concept is so important, that during some surveys the Medication Management and Infection Control System Tracers may be deleted and discussion concerning these topics will take place in this session.

The CDC estimates that approximately 2 million patients a year admitted into acute care hospitals in the United States acquire healthcare-associated infections. Healthcare-associated infections (previously known as nosocomial infections) are those infections unrelated to the condition for which the patient was hospitalized. These healthcare-associated infections (HAIs) result in approximately 90,000 deaths and cost $4.5 to $5.7 billion dollars annually.

In this course you will learn about the Infection Control Patient System Tracer.

This educational module is meant to give you the feel of the TJC's new survey process under the new TJC accreditation process. By reviewing the information contained in this module, you will learn about the TJC's requirement for performing the organizational Periodic Performance Review (previously called "organizational self-assessment"), what it entails in completing the assessment and what must be done in terms of corrective action planning for any standards identified as non-compliant during the performance review.

In this course you will learn about the TJC Requirements for Nutritional Services.

In this course you will learn about the Leadership Session.